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Hematological response pattern associated with maximal-duration apnea series in untrained subjects: Annual Meeting of the European Underwater and Baromedical Society, Copenhagen, Denmark.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences.
Mid Sweden University, Faculty of Science, Technology and Media, Department of Natural Sciences.
Responsible organisation
2003 (English)Conference paper, (Other academic)
Abstract [en]

Background: In addition to the human cardiovascular ‘diving response’, i.e., bradycardia and peripheral vasoconstriction during apnea, recent studies have shown that spleen contraction also occurs during repeated apneas. This latter response may serve to expel erythrocytes into the circulation to promote gas transportation. However, prospective changes in blood parameters after repeated apneas have yet to be systematically described. As is the case with diving response parameters, some individuals may have stronger haematological changes from performing apneic series than others. These variations need to be considered in future studies of the function of the spleen and blood components during apnea. The present study was aimed to describe the haematological response pattern associated with repeated maximal apneas in healthy non-divers. Methods: After 20 min of rest, 46 healthy untrained subjects of both sexes performed three maximal apneas, spaced by two minutes rest and normal breathing. Blood samples were taken before, within 1 minute after, and 10 minutes after the apneic series and analyzed for changes in haemoglobin (Hb) concentration and hematocrit (Hct). Results: Pre-apnea Hb concentration (mean±SE) was normally distributed (147.1±1.6 g/L). An increase of 2.1±0.3% in the Hb value was seen immediately post-series, followed by a decrease from this value of 1.8±0.3% at 10 minutes post-series. Pre-apnea hematocrit (41.2±0.6 percent) showed a similar increase immediately post-series of 3.2±0.8% followed by a decrease of 1.6±0.4% from this value at 10 minutes post-series. Classifying subjects as strong responders (above 75th percentile) and weak responders (below 25th percentile) resulted in mean increases in Hb and Hct above pre-apneic values of 4.7±0.4% and 7.1±2.1%, respectively for strong responders, and -0.5±0.4 and 0.5±0.6, respectively for weak responders. Conclusion: Significant increases in Hb and Hct values occur immediately after a maximal apneic series, followed by a return towards baseline values after 10 minutes. These increases may be due to the spleen contraction as demonstrated in previous research. Furthermore, some subjects appear to respond more strongly than others, and pre-screening for these types of responders may be judicious in future testing. The mechanism(s) underlying the strength of these haematological responses warrants further investigation.

Place, publisher, year, edition, pages
2003.
Keyword [en]
hematocrit, hemoglobin, spleen contraction, apnea
National Category
Microbiology
Identifiers
URN: urn:nbn:se:miun:diva-1034Local ID: 1518OAI: oai:DiVA.org:miun-1034DiVA: diva2:26066
Available from: 2008-09-30 Created: 2008-09-30 Last updated: 2011-04-06Bibliographically approved

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